Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pickens A. Gantt II, MD

Individual provider Specialist · NPI 1063519445

Pickens A. Gantt II, MD is a Specialist in Charleston, West Virginia. Licensed in Tennessee and West Virginia. Registered with an NPI since 2006.

Licensed in
TN, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

830 Pennsylvania Ave Ste 205
Charleston, WV 25302-3302
Phone: (304) 388-2863
Fax: (304) 388-2866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X · Licence 22945 (WV)
Specialist Taxonomy 174400000X · Licence 13100 (TN)

Record details

NPI number1063519445
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESDecember 14, 2015

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